Cooper, Emily Jane

Cooper, Emily Jane is an individual health care provider with primary practice located at 3517 W Owen K Garriott Rd Ste 4 , Enid OK 73703-4953. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Cooper, Emily Jane can be contacted via phone (580) 233-5553.

Contact Information

Primary practice address
3517 W Owen K Garriott Rd Ste 4 Enid OK 73703-4953
Phone: (580) 233-5553
Fax: (580) 233-5641
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 29152 Oklahoma

Profile Details

NPI number 1003182650
LBN Legal business name Cooper, Emily Jane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2012
Last updated Aug 19th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003182650 NPPES
Oklahoma MEDICAID 200510880B
Oklahoma Other P01533835

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